KELSEY C GUNDERSON
NPI 1720660970
Occupational Therapist in South Range, WI
About Kelsey C Gunderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY C GUNDERSON (NPI 1720660970) is an individual occupational therapist in South Range, Wisconsin, licensed in Minnesota (106549) and active in the NPI registry since April 2021. She maintains a secondary practice location in Duluth and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsey C Gunderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelsey Gunderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Deforest, WI 53532
- Reassigned Medicare billing, Wisconsin enrollment
- 66 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelsey Gunderson's NPI number?
The NPI number for Kelsey Gunderson is 1720660970. It was assigned to this individual provider in the NPPES registry on April 27, 2021.
Where is Kelsey Gunderson located?
Kelsey Gunderson practices at 8274 E San Rd, South Range, WI 54874. The listed phone number is (715) 398-3523.
What is Kelsey Gunderson's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kelsey Gunderson enrolled in Medicare?
Yes. Kelsey Gunderson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelsey Gunderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Gunderson reassigns Medicare benefits to Sundance Rehabilitation LLC (Deforest, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Gunderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelsey Gunderson was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.